Please use this identifier to cite or link to this item: https://doi.org/10.1186/s12966-018-0669-1
Title: Self-reported domain-specific and accelerometer-based physical activity and sedentary behaviour in relation to psychological distress among an urban Asian population
Authors: Chu, A.H.Y 
van Dam, R.M 
Biddle, S.J.H
Tan, C.S 
Koh, D 
Müller-Riemenschneider, F 
Keywords: adult
aged
Article
behavior assessment
cross-sectional study
distress syndrome
female
General Health Questionnaire
Global Physical Activity Questionnaire
human
Kessler Screening Scale
leisure
male
middle aged
physical activity
psychological distress assessment
sedentary lifestyle
self report
Singaporean
urban population
accelerometry
adolescent
Asian continental ancestry group
epidemiology
ethnic group
exercise
lifestyle
mental health
mental stress
pathophysiology
questionnaire
Singapore
statistical model
urban population
young adult
Accelerometry
Adolescent
Adult
Aged
Asian Continental Ancestry Group
Cross-Sectional Studies
Ethnic Groups
Exercise
Female
Humans
Life Style
Logistic Models
Male
Mental Health
Middle Aged
Sedentary Behavior
Self Report
Singapore
Stress, Psychological
Surveys and Questionnaires
Urban Population
Young Adult
Issue Date: 2018
Citation: Chu, A.H.Y, van Dam, R.M, Biddle, S.J.H, Tan, C.S, Koh, D, Müller-Riemenschneider, F (2018). Self-reported domain-specific and accelerometer-based physical activity and sedentary behaviour in relation to psychological distress among an urban Asian population. International Journal of Behavioral Nutrition and Physical Activity 15 (1) : 36. ScholarBank@NUS Repository. https://doi.org/10.1186/s12966-018-0669-1
Abstract: Background: The interpretation of previous studies on the association of physical activity and sedentary behaviour with psychological health is limited by the use of mostly self-reported physical activity and sedentary behaviour, and a focus on Western populations. We aimed to explore the association of self-reported and devise-based measures of physical activity and sedentary behaviour domains on psychological distress in an urban multi-ethnic Asian population. Methods: From a population-based cross-sectional study of adults aged 18-79 years, data were used from an overall sample (n = 2653) with complete self-reported total physical activity/sedentary behaviour and domain-specific physical activity data, and a subsample (n = 703) with self-reported domain-specific sedentary behaviour and accelerometry data. Physical activity and sedentary behaviour data were collected using the Global Physical Activity Questionnaire (GPAQ), a domain-specific sedentary behaviour questionnaire and accelerometers. The Kessler Screening Scale (K6) and General Health Questionnaire (GHQ-12) were used to assess psychological distress. Logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals, adjusted for socio-demographic and lifestyle characteristics. Results: The sample comprised 45.0% men (median age = 45.0 years). The prevalence of psychological distress based on the K6 and GHQ-12 was 8.4% and 21.7%, respectively. In the adjusted model, higher levels of self-reported moderate-to-vigorous physical activity (MVPA) were associated with significantly higher odds for K6 (OR = 1.47 [1.03-2.10]; p-trend = 0.03) but not GHQ-12 (OR = 0.97 [0.77-1.23]; p-trend = 0.79), when comparing the highest with the lowest tertile. Accelerometry-assessed MVPA was not significantly associated with K6 (p-trend = 0.50) nor GHQ-12 (p-trend = 0.74). The highest tertile of leisure-time physical activity, but not work- or transport-domain activity, was associated with less psychological distress using K6 (OR = 0.65 [0.43-0.97]; p-trend = 0.02) and GHQ-12 (OR = 0.72 [0.55-0.93]; p-trend = 0.01). Self-reported sedentary behaviour was not associated with K6 (p-trend = 0.90) and GHQ-12 (p-trend = 0.33). The highest tertile of accelerometry-assessed sedentary behaviour was associated with significantly higher odds for K6 (OR = 1.93 [1.00-3.75]; p-trend = 0.04), but not GHQ-12 (OR = 1.34 [0.86-2.08]; p-trend = 0.18). Conclusions: Higher levels of leisure-time physical activity and lower levels of accelerometer-based sedentary behaviour were associated with lower psychological distress. This study underscores the importance of assessing accelerometer-based and domain-specific activity in relation to mental health, instead of solely focusing on total volume of activity. © 2018 The Author(s).
Source Title: International Journal of Behavioral Nutrition and Physical Activity
URI: https://scholarbank.nus.edu.sg/handle/10635/175393
ISSN: 1479-5868
DOI: 10.1186/s12966-018-0669-1
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